Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 24571 | NC |
NPI | 1831194976 |
---|---|
Provider Name | Dr. Moon S Choi - Chung |
First Address | Sylva, NC 28779-5171 |
Second Address | Sylva, NC 28779-5171 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C86577 | (02) | NC |